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75
It is generally admitted that if suspicious though indefinite
symptoms have manifested themselves, it is unjustifiable to give
an opinion as to the presence or absence of tuberculosis, unless it is
corroborated by an X-Ray film, taken and reported on by a
radiologist specially experienced in chest work. The clinical signs
and symptoms in patients of this type being vague, the resulting
X-Ray findings are of the utmost value, since they necessarily
indicate in the great majority either a very early lesion, or the
absence of disease. The importance of securing early cases has
been widely emphasised, but from the point of view of the patient's
peace of mind, and also from the Public Health standpoint, it is
absolutely essential that there should be some definite criterion
on which one can rely before deciding that no disease is present.
To have to give an opinion on this point is, I think, one of the most
critical duties of a Tuberculosis Officer, and I have received
invaluable assistance from Dr. Loughborough in many difficult
cases.
I have also to thank Mr. G. W. Cooling, the Hospital SecretarySuperintendent,
for his help and advice, especially in matters concerning
the equipment of the Dispensary ; and the Matron for her
supervision of the nursing arr angements, which have remained most
satisfactory.
The Dispensary is greatly indebted to the Chief Administrative
Officers, Dr. G. H. Dart, Medical Officer of Health for Hackney,
and Dr F. D. Ross-Keyt, Medical Officer of Health for Stoke
Newington, for the interest which they have continued to show in
the Department.
In conclusion, I wish to express my gratitude to the Tuberculosis
Dispensary Committee, and to the representatives of the
Boroughs of Hackney and Stoke Newington for their assistance
and support during the year.
I am, Ladies and Gentlemen,
Your obedient servant,
F. W. HAMILTON,
Clinical Tuberculosis Officer.